Considering that the working population reported 2.5 times higher persistent LBP than non-working population in low and middle-income regions, China, the biggest labour force country, suffers high economic and societal burden of LBP. The annual prevalence of LBP varies between different occupations ranging from 40% in teachers to 74% in garment workers.
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In China, a country with a population of 1.4 billion people, LBP was estimated to impact 67.3 million people in 2016 with an increase of 19% since 1990, and is ranked as the second highest reason for health burden.
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Low back pain (LBP) is a common and disabling disorder, ranked as the leading cause of Years Lived with Disability (YLDs) worldwide. These cultural beliefs could be relevant to consider in LBP management and involve healthcare professionals, family and patient in this process. Traditional Chinese medicine related pain beliefs mainly to the concept of ‘balance’ were evident on contemporary Chinese society’s understandings of LBP. People from moderately and well-developed parts of Mainland China think predominantly in line with a Western biomedical viewpoint about their LBP. Most participants responded that their pain beliefs were based on information derived from healthcare professionals (59.2%), followed by the internet (24.3%) and family (23.0%). Resultsįive discourses were identified to underpin participants’ beliefs about what caused their persistent or recurrent LBP, namely: (1) biomedical problems (66.4%), (2) unbalanced lifestyle (48.7%), (3) menstruation and ‘kidney’ status (9.2%), (4) the ‘Five Elements’ imbalance (7.9%), and (5) energy status (5.9%). The sources of these discourses were assessed by descriptive statistics with conventional content analysis. Potential causes of persistent or recurrent LBP were explored qualitatively using discourse analysis. People ( n = 152) from South Central, East and North Mainland China with LBP completed an online survey about what they believed caused their persistent or recurrent LBP and where these understandings came from. The secondary aim was to investigate the sources of these pain beliefs. The primary aim of this study was to explore the discourses underlying the beliefs of people in China about what causes their persistent or recurrent LBP. However, there is lack of knowledge about people’s discourses regarding their LBP in China. Chinese philosophies are nested into the daily life of people in China, which is likely to influence pain beliefs. Delayed recovery, poor clinical outcomes and persistence of LBP are associated with negative pain beliefs about LBP.
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Low back pain (LBP) is the second highest cause of health burden in China.